TIANJIN MEDIS DISPOSABLE INFUSION SET

K060082 · Tianjin Medis International Trade Co., Ltd. · FPA · Mar 31, 2006 · General Hospital

Device Facts

• Record ID: K060082
• Device Name: TIANJIN MEDIS DISPOSABLE INFUSION SET
• Applicant: Tianjin Medis International Trade Co., Ltd.
• Product Code: FPA · General Hospital
• Decision Date: Mar 31, 2006
• Decision: SESE
• Submission Type: Abbreviated
• Regulation: 21 CFR 880.5440
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

Tianjin Medis Disposable Infusion set is a device intended to administer fluids from a container to a patient's vascular system through a catheter inserted into a vein.

Device Story

Disposable infusion set; facilitates fluid administration from container to patient vascular system via venous catheter. Used in clinical settings by healthcare professionals. Device consists of tubing, drip chamber, and connector components. Provides controlled fluid delivery path. Benefits patient by enabling intravenous therapy.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

Disposable infusion set; consists of standard medical-grade tubing and components for fluid administration. Sterilized for single use. No electronic or software components.

Indications for Use

Indicated for patients requiring intravenous fluid administration via a catheter inserted into a vein.

Regulatory Classification

Identification

An intravascular administration set is a device used to administer fluids from a container to a patient's vascular system through a needle or catheter inserted into a vein. The device may include the needle or catheter, tubing, a flow regulator, a drip chamber, an infusion line filter, an I.V. set stopcock, fluid delivery tubing, connectors between parts of the set, a side tube with a cap to serve as an injection site, and a hollow spike to penetrate and connect the tubing to an I.V. bag or other infusion fluid container.

Special Controls

*Classification.* Class II (special controls). The special control for pharmacy compounding systems within this classification is the FDA guidance document entitled “Class II Special Controls Guidance Document: Pharmacy Compounding Systems; Final Guidance for Industry and FDA Reviewers.” Pharmacy compounding systems classified within the intravascular administration set are exempt from the premarket notification procedures in subpart E of this part and subject to the limitations in § 880.9.

Submission Summary (Full Text)

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DEPARTMENT OF HEALTH & HUMAN SERVICES

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Public Health Service

MAR 3 1 2006

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ms. Cindy Wang Tianjin Medis International Trade Company, Limited Wanshun Garden Rm. C 1801 89# Huangpu Nan Road Hexi, 300201, Tianjin China

Re: K060082

Trade/Device Name: Tianjin Medis Disposable Infusion Set Regulation Number: 880.5440 Regulation Name: Intravascular administration set Regulatory Class: II Product Code: FPA Dated: December 30, 2005 Received: January 10, 2006

Dear Ms. Wang:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent [{for the indications for use stated in the enclosure)] to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Eederal Register.

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Page-2 Ms. Cindy Wang

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to continue marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at their toll free number [phone] or at [phone] or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html.

Sincerely yours,

Chiu Lin, Ph.D.

Chiu Lin, Ph.D Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health.

Enclosure

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## Tianjin Medis International Trade Co., Ltd.

Registration No: 3004992992

Owner/Operator No: 9070069

## Indications for Use Statement

510(k) Number (if known):

Device Name:

## Indications for Use:

Tianjin Medis Disposable Infusion set is a device intended to administer fluids from a container to a patient's vascular system through a catheter inserted into a vein.

| Prescription Use | √ |
|----------------------|-----------------------------|
| | □Part 21 CFR 801 Subpart D□ |
| AND/OR | |
| Over-The-Counter Use | |
| | □Part 21 CFR 801 Subpart C□ |

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Anthony D. nung

Seneral H Ja